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SKIN: The patients skins moisture is dry due to dehydration.

The texture is rough due to aging and signs of dehydration. HEAD: The patients head was round and in proportion w/ the body. Hair color is white and has no dandruff and lice. The patients general appearance of face indicates a feeling of weakness. NECK and SHOULDERS: The veins and clavicle are visible. The shoulders are asymmetrical. The neck muscles are weak. EYES: The patients eyes are symmetrical to the ears. She manifested a blurred vision due to aging. Pale conjunctivae was noted. A sunken eye was observed. The eyes appeared dry due to dehydration. EARS: The clients ear manifested a good hearing balance. There were no discharges noted. NOSE: The clients nasal septum is intact and in the midline. There were no discharges noted. Airs move freely as the client breathes through the nose. MOUTH and THROAT: The clients mouth has presence of lesions due to frequent vomiting. The lips were dry due to dehydration. The throat was functioning well. No dentures. (+) tartar. There is a black discoloration in the enamel. (+) breath odor. CHEST: The chest is symmetric. The skin was sagged. The thorax is elliptical. ABDOMEN: The skin of the abdomen is unblemished and uniform in color. Symmetric abdominal contour flattened and rounded. Audible bowel sounds. Symmetric movements cause by respiration. No tenderness noted. EXTREMITIES: The fingers in both hands and feet are complete. The shape of the nails is spoon-shape, the consistency is smooth and the color is pinkish white. SPINE: The spine of the patient is slightly curved. No presence of defects. A. SLEEP Prior to Hospitalization: Her sleeping pattern before was normal. She was able to consume normal 8-hour sleeping time. During Hospitalization: During her stay at the hospital she said that she was experiencing difficulty of sleeping. B. ACTIVITY AND EXERCISE Prior to Hospitalization: Mrs. Green was a street sweeper and a hog-raiser. During Hospitalization: During her stay at the hospital, she was not able to perform activities because of restlessness due to her illness. C. NUTRITION Prior to Hospitalization: She has good appetite. During Hospitalization: During her stay at the hospital, she loses her appetite because of her illness. DIGESTIVE SYSTEM The human digestive system is a complex series of organs and glands that processes food. In order to use the food we eat, our body has to break the food down into smaller molecules that it can process; it also has to excrete waste. Most of the digestive organs (like the stomach and intestines) are tube-like and contain the food as it makes its way through the body. The digestive system is essentially a long, twisting tube that runs from the mouth to the anus, plus a few other organs (like the liver and pancreas)that produce or store digestive chemicals.

The Digestive Process The start of the process the mouth: The digestive process begins in the mouth. Food is partly broken down by the process of chewing and by the chemical action of salivary enzymes (these enzymes are produced by the salivary glands and break down starches into smaller molecules). On the way to the stomach: the esophagus After being chewed and swallowed, the food enters the esophagus. The esophagus is a long tube that runs from the mouth to the stomach. It uses rhythmic, wave-like muscle movements (called peristalsis) to force food from the throat into the stomach. This muscle movement gives us the ability to eat or drink even when we're upside-down In the stomachThe stomach is a large, sack-like organ that churns the food and bathes it in a very strong acid (gastric

acid). Food in the stomach that is partly digested and mixed with stomach acids is called chime. In the small intestineAfter being in the stomach, food enters the duodenum, the first part of the small intestine. It then enters the jejunum and then the ileum (the final part of the small intestine). In the small intestine, bile (produced in the liver and stored in the gallbladder), pancreatic enzymes, and other digestive enzymes produced by the inner wall of the small intestine help in the breakdown of food In the large intestine- After passing through the small intestine, food passes intothe large intestine. In the large intestine, some of the water a ndelectrolytes (chemicals like sodium) are removed from the food. Many microbes (bacteria like Bacteroides, Lactobacillusacidophilus, Escherichia coli , and Klebsiella) in the large intestine help in the digestion process. The first part of the large intestine is called the cecum (the appendix is connected to the cecum).Food then travels upward in the ascending colon. The foodtravels across the abdomen in the transverse colon, goes backdown the other side of the body in the descending colon, and then through the sigmoid colon. The end of the processSolid waste is then stored in the rectum until it is excreted via the anus. Digestive System Glossary: anus - the opening at the end of the digestive system from which feces (waste) exits the body. Appendix- a small sac located on the cecum. Ascending colon- the part of the large intestine that run upwards; it is located after the cecum. Bile - a digestive chemical that is produced in the liver, stored in the gall bladder, and secreted into the small intestine. Cecum - the first part of the large intestine; the appendix is connected to the cecum. Chime - food in the stomach that is partly digested and mixed with stomach acids. Chyme goes on to the small intestine for further digestion. Descending colon - the part of the large intestine that run downwards after the transverse colon and before the sigmoid colon. Duodenum- the first part of the small intestine; it is C-shaped and runs from the stomach to the jejunum. Epiglottis - the flap at the back of the tongue that keeps chewed food from going down the windpipe to the lungs. When you swallow, the epiglottis automatically closes. When you breathe, the epiglottis opens so that air can go in and out of the windpipe. Esophagus- the long tube between the mouth and the stomach. It uses rhythmic muscle movements (called peristalsis) to force food from the throat into the stomach. Gall bladder - a small, sac-like organ located by the duodenum. It stores and releases bile (a digestive chemical which is produced in the liver) into t hesmall intestine. Ileum- the last part of the small intestine before the large intestine begins. Jejunum- the long, coiled mid-section of the small intestine; it is between theduodenum and the ileum. Liver - a large organ located above and in front of the stomach. It filters toxinsfrom the blood, and makes bile (which breaks down fats) and so meblood proteins. Mouth - the first part of the digestive system, where food enters the body.Chewing and salivary enzymes in the mouth are the beginning of thedigestive process (breaking down the food). Pancreas- an enzyme-producing gland located below the stomach and abovethe intestines. Enzymes from the pancreas help in the digestionof carbohydrates, fats and proteins in the small intestine. Peristalsis- rhythmic muscle movements that force food in the esophagusfrom the throat into the stomach. Peristalsis is involuntary - y ou cannotcontrol it. It is also what allows you to eat and drink while upside-down. Rectum- the lower part of the large intestine, where feces are stored before they is excreted. Salivary glands- glands located in the mouth that produce saliva. Salivacontains enzymes that break down carbohydrates (starch) into sm aller molecules. Sigmoid colon- the part of the large intestine between the descending colon and the rectum. Stomach- a sack-like muscular organ that is attached to the esophagus. Both chemical and mechanical digestion takes place in the stomach. When food enters the stomach; it is churned in a bath of acids and enzymes. Transverse colon- the part of the large Intestine that runs horizontally across the abdomen.